同期输尿管软镜钬激光碎石术治疗双侧上尿路结石

Bilateral same-session flexible ureteroscopy with holmium laser lithotripsy in the treatment of bilateral renal and/or ureter stone disease

目的评价同期行双侧上尿路结石输尿管软镜碎石术治疗的安全性和疗效。方法回顾分析2017年2月至2019年7月我院行同期输尿管软镜钬激光碎石术治疗双侧上尿路结石患者的临床资料。分析了手术时间、结石清除率及并发症发生情况等,复查无残石或结石残块<4 mm视为碎石成功。结果共纳入33例患者(男26例,女7例),平均年龄(42±13)岁。结石总负荷为(3.48±1.11)cm,手术时间为(89±36)min,第一次和第二次手术后结石清除率分别为69.7%和81.8%。7例(21.2%)患者出现轻微并发症(Clavien-DindoⅠ-Ⅱ级),2例(6%)出现较严重并发症(Clavien-DindoⅢ级)。结论输尿管软镜钬激光碎石术同期治疗双侧上尿路结石安全有效。

Objective To evaluate the safety and effect of bilateral same-session flexible ureteroscopic lithotripsy(FURL)in the treatment of bilateral renal and/or ureter stone disease.Methods The data of patients undergoing bilateral same-session flexible ureteroscopy with holmium laser lithotripsy for bilateral renal and/or ureter stones between February 2017 and July 2019 were analyzed retrospectively.The clinical data included operation time,stone free rate and occurrence of complications,and so on.The success rate was defined as,patients who were stone-free or only had residual fragments<4 cm.Results A total of 33 patients(26 male,7 female),with a mean age of(42±13)years,were included.The mean stone size was(3.48±1.11)cm,operative time was(89±36)min.The stone-free rate were 69.7%and 81.8%after the first and second procedures,respectively.There were minor complications(Clavien-Dindo gradeⅠ-Ⅱ)in 7 patients(21.2%)and major complications(Clavien-Dindo gradeⅢ)in two patients(6%).Conclusion Same-session bilateral FURL is a successful and safe method for bilateral upper urinary tract stones.